Combined artificial iris and intraocular lens double-flanged scleral fixation in a patient with posttraumatic aniridia and aphakia

This article introduces a novel surgical approach to address traumatic aniridia and aphakia through combined artificial iris (AI) and intraocular lens (IOL) implantation using the Canabrava technique. The IOL is affixed to the AI through 2 prolene sutures, which are flanged in the sclera at 4 symmetrical points. Both the surgical procedures and the postoperative follow-up visits showed no complications. An improvement in function and visual outcomes was achieved. The studied alternative surgical method could improve the management of complex cases of traumatic aniridia and aphakia, offering both functional and aesthetic benefits to patients.